| NPI | 1881897973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN E ESTES Executive Assistant 913-682-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: KS 019) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |