| NPI | 1356077168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIE SHANKS Psychiatric Nurse Practitioner 785-407-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-12-21 |