| NPI | 1588538003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CAMERON MOORE Psychiatric Nurse Practitioner 620-303-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |