| NPI | 1114356821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CLARK President 620-421-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 4133) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2015-04-20 |