| NPI | 1023292422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M LEES Owner 785-845-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 558) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |