| NPI | 1326791500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAAL JONES Administrator 316-258-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |