| NPI | 1144706227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON RAYMOND NELSON Licensed Professional Counselor 816-582-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KS 3266) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |