| NPI | 1063789451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLYS E WILLER Owner 785-827-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 664) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |