| NPI | 1083858724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ECKER Executive Director 316-737-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 07100901) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2015-12-21 |