| NPI | 1669198651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CORTEZ General Partner 785-845-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-11-06 |