| NPI | 1336912815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOPHER ANTHONY MILLER CEO 913-522-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |