| NPI | 1699213934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI PERSHALL Psychotherapist 785-383-1949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 4594) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-03-28 |