| NPI | 1780847277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN LAFORGE Director 316-312-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 06910870) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-07-22 |