| NPI | 1790879534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS W VINYARD Director 913-367-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 185) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |