| NPI | 1851565634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS J LEIKER Owner, Lit 816-309-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 667) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-09-03 |