| NPI | 1538848585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTAL WALLACE Chief Operations Officer 785-640-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |