| NPI | 1891348710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAHAYRA ORTIZ Office Manager 316-688-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2023-07-17 |