| NPI | 1154840247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE L COOK Director 913-562-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 4509) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-01-26 |