| NPI | 1982461232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DICKINSON Owner 316-854-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-04-17 |