| NPI | 1730984048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M RUPERT Owner/Operator 316-665-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |