| NPI | 1841766425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ALVIN SIMONS-BRACKEN Owner/Operator 816-400-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NX0800X Chiropractor, Orthopedic | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 103TC0700X Psychologist, Clinical | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2026-04-09 |