| NPI | 1033288535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI L. MASON Director Business Operations 620-331-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-09-30 |