| NPI | 1508362229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH B MATHESON Clinical Director/Owner 913-522-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2232) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-11-03 |