| NPI | 1477498764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHYA BAANU JEEVANBA Licensed Psychologist 816-905-8936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-04-22 |
| Last Update Date | 2026-04-22 |