| NPI | 1366032153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE J PATERSON CFO 913-961-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |