| NPI | 1750258471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHLIL SCOTT Director 816-744-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |