| 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 |