| NPI | 1376828525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA FITZER Owner 913-952-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 8257) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |