| NPI | 1174274674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA PAULINA ZACAPA - REYES Authorized Official 620-339-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-01-16 |