| NPI | 1689000853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS LUNDGREN Case Manager Tcm 620-271-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: KS 100374970A) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-24 |