| NPI | 1316378953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HARRIS Owner 620-717-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 200419410a) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: KS 200419410a) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |