| NPI | 1649716192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J SUTHERLAND Clinical Supervisor 785-843-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS LSCSW 2136) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |