NPI | 1063097087 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA HAEFKE Owner/Therapist 785-851-0717 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-03-11 |
Last Update Date | 2021-03-11 |