| NPI | 1891488474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROSE PARKER Quality Improvement Manager 620-275-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |