NPI | 1164987772 |
---|---|
Entity Type | Organization |
Authorized Contact | MISTY M WILLIAMS Founder/CEO 620-794-0221 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 101Y00000X Counselor |
251C00000X Day Training, Developmentally Disabled Services | |
251S00000X | |
320700000X Residential Treatment Facility, Physical Disabilities | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2019-02-07 |
Last Update Date | 2020-01-28 |