| NPI | 1578075925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE PELTIER Executive Director 316-200-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |