| NPI | 1518138817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M MITCHELL DRUCKER Owner / Operator 785-865-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 100274950A) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |