| NPI | 1659113124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LARKIN Owner 913-295-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |