| NPI | 1578062808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIELA KOUGH Owner/Therapist 620-491-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 4624) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |