| NPI | 1053431676 |
|---|---|
| Doing Business As | MIRROR, INC. |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH T MEITNER Director Of Utilization 316-400-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 0093) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: KS 0093) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 0093) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-01-10 |