| NPI | 1851722078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH SAUNDERS Owner 785-218-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 200420910A) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |