| NPI | 1669889515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI MIESSE Licensed Professional Counselor 816-960-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |