| NPI | 1821789850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE SOLEYMANI-ALIZADEH Owner 816-200-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-08-31 |