| NPI | 1538396544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY D. WRIGHT Executive Director 620-341-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 07140907) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |