| NPI | 1326504432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN G GIRALDO Member 816-837-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |