| NPI | 1104523521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CHEEK-KING Owner 785-550-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-24 |