| NPI | 1427936962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA INGRAM Owner/Provider 785-339-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |