| NPI | 1477995413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SANDERSON Administrative Assistant 913-291-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-02-04 |