| NPI | 1962646604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN NEIL MACKENZIE Sole Member 913-642-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 30842) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |