| NPI | 1568589570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAUSHEER Owner 620-626-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-29570) |
| Additional Taxonomies | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: KS 04-29570) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-29570) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-06-02 |