| NPI | 1083902191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MARIA KLYACHKIN Authorized Official/President 913-322-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-05-21 |