NPI | 1891814398 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS VANDERPOOL CEO 913-831-2820 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 176) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |