| NPI | 1235613563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MICHAEL JOHNSON President 913-302-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |