| NPI | 1235824525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY V EASON Nurse Practitioner 316-208-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-04-18 |