| NPI | 1336361757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY T LINGENFELTER Administrator 620-343-3685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |