| NPI | 1265892889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN DEFREECE Manager 913-381-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: KS 0433574) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: KS 0433574) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0433574) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |