| NPI | 1326145863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WAYNE POTTER Owner 785-537-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 206) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |