| NPI | 1952821142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAZ MCKEITH MADISON President 913-438-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2419) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2017012037) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |