| NPI | 1467754390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA F MACIAS Owner 316-943-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 3701) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |