NPI | 1871718221 |
---|---|
Doing Business As | MENTAL HEALTH COLLECTIVE, LLC |
Entity Type | Organization |
Authorized Contact | JOHN RAYMOND WHIPPLE Owner 785-841-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: KS 04-23223 and 0986) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2007-04-13 |
Last Update Date | 2021-04-27 |