| NPI | 1801991203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE D BISSELL Executive Director 620-624-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-12-18 |