| NPI | 1164831418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM HAMMER Director 913-481-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 001Y003D) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: KS 001Y003D) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 001Y003D) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: KS 001Y003D) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2015-08-24 |