| NPI | 1366074882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH LAVELLE KERR Chief Operations Officer 620-717-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |