| NPI | 1467120303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY PATRICK Owner 785-670-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |