| NPI | 1992466072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ALLRED Manager 913-221-5727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-01-01 |
| Last Update Date | 2024-06-13 |