| NPI | 1467557983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE RILEY-HANSEN Executive Director 620-342-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: KS 097) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 097) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-05-23 |