| NPI | 1508397308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL NICHOLS Clinical Director 913-648-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KS 07310947) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |