NPI | 1114065489 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD CASEY CEO 316-267-3825 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-02-01 |
Last Update Date | 2012-02-23 |