| NPI | 1891219911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT HAGES Executive Director 785-371-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2023-08-01 |