| NPI | 1871760181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. LARSEN Psychologist 913-322-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2011-04-15 |