| NPI | 1568865848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE MORRIS Dietitian 913-307-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |