| NPI | 1598963126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RASMUSSEN MILES Owner 913-406-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS LP 1301) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-09-06 |