| NPI | 1205319472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON D. GOODWIN Clinical Social Worker 316-249-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |