| NPI | 1992509137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAYA TINA KOLE Psychiatric Mental Health Nurse Pra 913-674-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |