| NPI | 1508274382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB STIDHAM Program Director 913-782-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 1469) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |