| NPI | 1255519096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE SUZANNE BAIER-CANNON Owner 913-381-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 2008) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |