| NPI | 1144880436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN L WILLSON Owner 913-948-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |