| NPI | 1841382165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA LONGORIA Credentialing Specialist 913-826-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-07-17 |