| NPI | 1811415466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYNNE MULLOY Owner, Director 316-202-9492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 2476) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |