| NPI | 1396002192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RANDALL WEBB Executive Director 316-558-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 07540072) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |