| NPI | 1104255926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI TOBEN Owner 913-333-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 200550571A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 200550571A) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |