| NPI | 1962650705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS ELLEN WILKINS Owner/President 913-530-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 74085APNR) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KS 14-58010-092) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 14-58010-092RN) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2018-04-03 |