NPI | 1659632982 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIS SAWYER Credentialing Specialist 660-626-0404 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 07110078) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2012-06-04 |