| NPI | 1194699256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER ENSLEY Owner/Provider 913-620-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |