| NPI | 1669803433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USMAN I HONG Owner 785-550-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 100415620a) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: KS 100415620a) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |