NPI | 1326323080 |
---|---|
Entity Type | Organization |
Authorized Contact | PATTY WIKE Vice President Community Based Svcs 913-484-7161 |
Organization Subpart ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA OT7960) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2011-10-13 |