| NPI | 1396262168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ZLUTICKY Billing Manager 316-260-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 033G005G) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |