| NPI | 1205588811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE DOUBENMIER MILLER Founder 816-520-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |