| NPI | 1558112144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY JOHNSON CEO 816-780-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-08-08 |