| NPI | 1720407679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYELL GRAYSON Owner 816-729-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2025-11-11 |