| NPI | 1346937588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANJA NICOLE MUNDT CEO 913-904-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-07-03 |