| NPI | 1811248685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENTON D LANGHOFER Director 316-992-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 40849756D) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2017-02-22 |