| NPI | 1154776219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN IVEY Accounts Receivable 913-341-9316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-03-18 |