NPI | 1770099137 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRI BROOKE Practice Owner 816-500-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2017-12-21 |
Last Update Date | 2023-11-17 |