NPI | 1215530167 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY SUE GOSCHA Owner/President 785-766-1885 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-11-20 |
Last Update Date | 2021-02-23 |