| NPI | 1003953399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS K NICOL Administrator 913-440-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 200333610A) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-07-07 |