| NPI | 1285753483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIE KATHLEEN CROTTS Program Development Manager 620-275-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |