| 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 |