| NPI | 1093123390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M JORDAN CEO 913-647-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP 1647) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2007028983) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |