| NPI | 1417806332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYN MCCARTY Owner 316-619-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-01-23 |
| Last Update Date | 2026-01-29 |