| NPI | 1922497320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LOUISE BARNETT Owner 620-789-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 102) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2024-02-28 |