| NPI | 1821113663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH D. KNOX Executive Director 316-265-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 149) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |