| NPI | 1427439546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ROTHS Billing Speciailist 316-685-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 251S00000X) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |