| NPI | 1104251115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE LEE WOODROOF Director Of Operations 913-586-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |