| NPI | 1629859905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARIAH M. SEIFERT Owner 816-508-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |