NPI | 1639503949 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA SHAUGHNESSY Ower 816-616-7909 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2013-08-23 |
Last Update Date | 2013-08-23 |