| NPI | 1902356843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M WILLOUGHBY Owner Counselor 913-484-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1353) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |