| NPI | 1568524197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LENA HARDY Partner 660-829-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-08-20 |