| NPI | 1134194665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE J DILLON Director 620-231-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 371) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-08-22 |