| NPI | 1457040925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA M RAUB Payroll And Credentialing Manager 785-587-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-05 |