NPI | 1659051373 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA MARTINEZ Owner 816-783-7982 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-07-18 |
Last Update Date | 2023-07-18 |