| NPI | 1083338339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWABENA OKYERE Administrator 785-492-7939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |