| NPI | 1255632717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY CAROL EVANS Manager 785-215-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS LSCSW925) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |