| NPI | 1881811867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERYE J JACKSON CFO 785-841-4138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 251S00000X | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-05-29 |