| NPI | 1316695281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMICKA MONSON Counselor 913-346-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-05-22 |