| NPI | 1912656612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNI PATRECE ELLIOTT-LIBUTSI Owner 913-333-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-10-27 |