| NPI | 1629485974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MILLER Office Manager 913-907-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 623) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |