| NPI | 1811146855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN L. STEAVENSON CEO 620-340-0317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 251S00000X) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |