| NPI | 1902138209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI GENTRY Revenue Cycle Manager 913-322-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2024-06-03 |