| NPI | 1366873788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY EVANS Owner 620-757-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2021-03-17 |