| NPI | 1659532554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HAWLEY President 316-841-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS LP 1206) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |