| 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 |