| NPI | 1477865244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ALAN PARKS President 785-817-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS LCP # 169) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2011-02-17 |