| NPI | 1326533407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE PATERSON Controller 913-345-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |