| NPI | 1295557577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI GENTRY Revenue Cycle Manager 913-322-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-11-05 |