| NPI | 1881092195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN MILLER Owner 316-835-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 2530) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |