| NPI | 1629535265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVER KREHBIEL Medical Director 316-260-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |