| NPI | 1740598226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA THIESEN Clinical Director 785-840-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 681) |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2010-09-19 |