| NPI | 1285101311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA PARKER Owner/Operator 316-650-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-27 |