| NPI | 1093920654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A WHIPPO Director Of Finance 620-275-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 001) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |