| NPI | 1265684591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALCALA Sole Proprietor 785-783-7691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 06950879) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |