| NPI | 1104546605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNNE HUMBARD Owner/Counselor 913-914-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |