| NPI | 1780387654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LEA LEHMAN Director Of Rcm 913-322-4905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-09-27 |