| NPI | 1316269368 |
|---|---|
| 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 | 207Q00000X Family Medicine |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2024-06-03 |