| NPI | 1942177225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEZEKWILL ELVIS-FOSSOH Owner 913-850-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |