| NPI | 1366520611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRAICK W STANG Clinical Director 620-792-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: KS 004) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-11-01 |