| NPI | 1629947908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE DREILING Owner 316-452-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |