| NPI | 1598275505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JONES Owner 620-710-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 00460061) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-06-20 |