| NPI | 1528583804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BETH DIXON Therapist 316-519-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 316) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-02-02 |