| NPI | 1134758683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE RIVERO Ap RN 316-992-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-11-05 |