| NPI | 1558878751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY WILSON Owner 785-273-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: KS 53-77013) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-08-18 |