| NPI | 1841625605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK RICHARD BAIN Excutive Director 620-363-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 200877210A) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: KS 200877210A) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |