| NPI | 1831425230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD HOGAN Member 785-286-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |