| NPI | 1154841690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE RAYNE LEAHY Owner 316-304-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 1757) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |