| NPI | 1780014480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THOMAS CFO 913-324-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XM0800X Occupational Therapist Mental Health | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2021-07-15 |