| NPI | 1992329189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENTON DALE LANGHOFER Clinical Director 316-992-3062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-07-15 |