| NPI | 1326246588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA RAUB Payroll & Credentialing Manager 785-587-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-05-05 |