| NPI | 1235301615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ATTEBERRY Comptroller 785-825-0541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MS CYS30TGH05) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |