| NPI | 1811217276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CLAY POPLIN Owner 816-284-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NV NV20101260400) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2014-07-30 |