| NPI | 1538654900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LYNN THOMPSON Owner/Family Services Specialist 816-679-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-01-15 |