| NPI | 1730598483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL BURNS Program Director/Owner 913-205-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-20 |