| NPI | 1417076001 |
|---|---|
| Doing Business As | ELM ACRES RECOVERY-PITTSBURG OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | KERYE J JACKSON CFO 785-841-4138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: KS 052) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: KS 052) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-05-29 |