| NPI | 1912364266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LAIRD Owner 913-222-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0438502) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |