| NPI | 1124449582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL CARTER Owner 620-412-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 200462510a) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: KS 200462510a) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |