| NPI | 1952642340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SMITH Sole Owner 913-341-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-75113-021) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |