| NPI | 1588328579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN STOVALL CEO 816-820-7739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |