| NPI | 1992175483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NICHOLE PRICE Licensed Professional Counselor 913-915-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2009018435) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |