| NPI | 1184164543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KAY CLAVETTE Owner 913-210-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5376322011) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-10-23 |