NPI | 1700620739 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVIN D. SHOPE Owner/Sole Proprietor 785-340-5297 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-06-24 |