| NPI | 1497337620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SPENCER CREITZ General Counsel 620-240-5015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |