NPI | 1245936343 |
---|---|
Entity Type | Organization |
Authorized Contact | JOLENE NICHOLS Executive Director 785-202-0140 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-02-01 |
Last Update Date | 2023-02-01 |