| NPI | 1578064861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD C. JACKSON Owner/Psychotherapist 816-377-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 4352) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |