| NPI | 1477358208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA GAYLE BAGBY Owner 620-285-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |