| NPI | 1992486427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME GILLUND Owner/Executive Director 620-344-2149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |