| NPI | 1932977006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH JOHNSON Owner/Provider 785-542-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |