| NPI | 1336945450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER TREMBLAY Authorized Official 785-447-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |