| NPI | 1821162629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE M WHITEHAIR Owner 785-625-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-08-04 |