| NPI | 1205129863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MCKENNEY Youth Empowerment Program Director 316-440-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |