| NPI | 1851646285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY FITCH Credentials Coordinator 913-851-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 0800288) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |