NPI | 1902659121 |
---|---|
Entity Type | Organization |
Authorized Contact | GARRETT DELONG Ap RN 785-301-1537 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-08 |