| NPI | 1841402203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D HOLTGREWE Program Director 913-645-6652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 530) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |