| NPI | 1124864491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR SHAYNE STOUT Therapist 913-944-2076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-12-11 |