| NPI | 1992846752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA BENNETT Director Of Office Opertions 620-365-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 025) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-08-28 |