| NPI | 1174264808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEA NICHOLSON CEO 785-342-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-06-08 |