NPI | 1104977891 |
---|---|
Doing Business As | PSYCHIATRIC & ADDICTION SERVICES |
Entity Type | Organization |
Authorized Contact | GARY LEE JOHNSON Administrator 316-686-7884 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |