| NPI | 1508340282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPHELIA BLACKWELL Owner/ Lead Clinician 785-236-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |