| NPI | 1093445801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PFANNENSTIEL Clinical Services Director 785-625-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |