| NPI | 1265328744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THALIA TUCCI Owner 816-744-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |