| NPI | 1679959811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA ANNE SHAVER Licensed Psychologist 620-926-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 2326) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OK 962) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-03-02 |