| NPI | 1790925717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RENEE SMITH Case Manager Administrator 620-617-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |