| NPI | 1568066587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR BENNETT Executive Director 913-653-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QD0000X Clinic/Center, Dental | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |