| NPI | 1962984195 |
|---|---|
| Doing Business As | VITALIS COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MARK POLK Owner/Manager 816-868-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |