| NPI | 1174513444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA LONGORIA Quality Improvement Representative 913-826-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2024-01-22 |