| NPI | 1538673819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIECE LINNEMAN Owner 660-676-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2025-03-12 |