| NPI | 1922864628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY LEE ANN MANNING Owner, Practitioner 620-259-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |