| NPI | 1679385512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN D. GATES Owner 316-413-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |