| NPI | 1255587895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM DAVIS Counselor 785-628-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 1048) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-15 |