| NPI | 1790646628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERISE C LANGE Owner 816-248-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 104100000X Social Worker |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |