NPI | 1295320554 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE RENEE DAVIS Lscsw, Owner 316-223-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-03-08 |
Last Update Date | 2024-03-02 |