| NPI | 1659243608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON D GILBERT Owner 816-715-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-10-08 |