| NPI | 1225659758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD KING President 913-328-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |