| NPI | 1124757943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GOSLINGA Managing Owner 913-461-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |