| NPI | 1760908024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY FULLER Sr. Director Rehabilitation Service 316-440-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-04-07 |