| NPI | 1124586938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA MAHONEY VP Of Revenue Cycle Management 913-213-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-06-05 |