| NPI | 1780193714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINN WILLIAMS Owner 816-804-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180010797) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2020-02-11 |