| NPI | 1295886984 |
|---|---|
| Doing Business As | SUBSTANCE ABUSETREATMENT OUITPATIENT PROGRAMS |
| Entity Type | Organization |
| Authorized Contact | GARY LEE JOHNSON Administrator 316-686-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 436) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |