| NPI | 1205074200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R RICKER Owner 620-663-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS LSCSW 3864) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |