| NPI | 1114695483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M JONES President 913-220-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |