| NPI | 1679263750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY BOWYER Accountant/Finance Specialist 620-792-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |