| NPI | 1225157639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H PFEIFFER Executive Administrator 620-231-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |