| NPI | 1316300239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BURROWS Credentialing 620-275-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 76030) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-08-19 |