NPI | 1205535358 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE OWENS Owner 816-533-5950 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-03-15 |