| NPI | 1346638954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENA KAY MAULDIN Director/ Psycho Therapist 913-710-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 195) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |