| NPI | 1467858670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SNOW Accrediation Specicalist 785-843-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 7876) |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |