| NPI | 1861585473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE M DOLAN Practice Manager 316-685-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 619) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |