| NPI | 1295565695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HALE Owner 816-786-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-05 |