| NPI | 1356182455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ZANE MAGRUDER CEO 316-218-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-09-30 |