| NPI | 1912141631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASCOM W. RATLIFF Director 913-710-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 05780708) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |