| NPI | 1821121534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLANA R PINON Chief Executive Officer 785-233-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: KS 0003166-003) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-06-02 |