| NPI | 1598961419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L LUND Executive Director 620-384-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 107) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |