| NPI | 1356728745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LEANNE BOWERS Director 620-364-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 002C003J) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2016-08-21 |