| NPI | 1427936962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA INGRAM Owner/Provider 785-339-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-12-23 |