| NPI | 1295916757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM LOCKHART Office Manager 620-378-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: KS 100116360A) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-29 |