| NPI | 1235210196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BURROWS Quality Improvement Mgr 620-275-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: KS 001) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |