| NPI | 1205573425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOHNSON Director Of Billing Credendialing 785-320-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-08-26 |