| NPI | 1861159170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI SIMS Program Director 316-640-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2021-11-21 |