| NPI | 1821020314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERISE UNRUH Executive Director 620-225-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 068) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |