| NPI | 1295228344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN ODONNELL Owner 785-288-8172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 2018012574) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-07-13 |