| NPI | 1588653588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE ALFORD Interim Executive Director 620-442-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 005) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2014-05-16 |