| NPI | 1134519341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FORD Owner 785-423-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 4321) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |