| NPI | 1508233123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY D. CHAVEZ Program Director 316-351-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 002H003S) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |