Provider First Line Business Practice Location Address:
AFFINITY MENTAL WELLNESS 7570 W 21ST ST NORTH
Provider Second Line Business Practice Location Address:
BUILDING 1046, SUITE A
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-776-4766
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/10/2021