| NPI | 1578040721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MCLAIN Executive Director 785-534-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS LMLP1199) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |