| NPI | 1114452067 |
|---|---|
| Other Name | MH HEALTH OF KANSAS AT SHAWNEE |
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |