| NPI | 1639788243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS WATTS HARRIS CEO 816-419-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2022-06-04 |