| NPI | 1679309561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY CLEMETSON Director Of Billing 913-405-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-26 |