NPI | 1326428004 |
---|---|
Entity Type | Organization |
Authorized Contact | KARLA MCDERMOTT Owner 620-446-0056 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 3984) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: KS 3984) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2015-07-21 |