| NPI | 1821178930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMBRE SUE GOSSELIN President 620-245-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 251B00000X Case Management |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |