| NPI | 1255481727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE B. MINTZER President 913-111-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0423698) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 0423698) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-08-23 |