| NPI | 1891821120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN YOUNGHANS Practice Manager 816-455-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-05-13 |