| NPI | 1659039840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE L BAKER Founder, Executive Director 913-210-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2021-12-04 |