| NPI | 1508949520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE I ECORD Operations Director 785-266-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |