| NPI | 1841496593 |
|---|---|
| Doing Business As | KANSAS MENTOR |
| Entity Type | Organization |
| Authorized Contact | DORIS DAVILA Executive Director 512-326-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: KS 0056897-003) |
| Additional Taxonomies | 251S00000X (Licence: KS 0056897-003) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |