| NPI | 1609535004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE AYUK NKEM CEO 785-418-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |