| NPI | 1376278648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN BROWN Nurse Practitioner 913-444-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2025-08-27 |