| NPI | 1801991237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINIA BROWN CAROLINA Owner 913-696-9908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 2003007992) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |