| NPI | 1629624846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAREESA HOOPER Therapist 316-461-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |