NPI | 1104100833 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA LYNN HASTINGS Executive Director 620-577-4955 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 103T00000X) |
Enumeration Date | 2011-09-29 |
Last Update Date | 2011-09-29 |