| NPI | 1184764151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI GENTRY Revenue Cycle Manager 913-322-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: KS 3182-5) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-06-03 |