| NPI | 1952007536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN P MILEHAM Owner 316-648-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |