| NPI | 1215058581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA PATRICK Manager Of Accounting Services 785-825-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-12-19 |