| NPI | 1760222582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MATTHEW RAINS Psychiatric Mental Health Nurse Pra 816-309-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |