| NPI | 1689324907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA LONGORIA Quality Improvement Representative 913-826-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2024-01-18 |