| NPI | 1104033422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARPLE Finance Director 785-506-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-02-21 |