| NPI | 1225866882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA RHIAN Authorized Official 620-267-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-06-26 |