| NPI | 1104669589 |
|---|---|
| Doing Business As | PRESIDENT |
| Entity Type | Organization |
| Authorized Contact | JOHN M BJERUM President 316-772-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |