| NPI | 1396825782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG HENNEN Executive Director 620-331-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-04-29 |