| NPI | 1871166264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE LARRY TOWNSEND Licensed Professional Counselor 785-491-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-09-13 |