| NPI | 1205317799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE L HOLLOMAN Owner 913-406-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KS 2425) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |