| NPI | 1427890482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA SHELTON Director/Owner 913-360-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |