| NPI | 1578320305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ERBERT Director Of Contract Administration 785-877-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |