| NPI | 1972261246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIN KELLY Therapist 785-465-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-03-06 |