| NPI | 1457916348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE WELLS Owner 816-878-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |