| NPI | 1992465041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME DUKE Licensed Professional Counselor 913-270-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |