NPI | 1376181149 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY CLEMETSON Director Of Billing/Credentialing 913-475-7713 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2019-12-12 |
Last Update Date | 2019-12-12 |