| NPI | 1780278705 |
|---|---|
| Doing Business As | SHAWNEE COUNSELING CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | HOLLY GAIL FANSLER Credentialing Manager 863-473-2083 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-07-24 |