| NPI | 1871923094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHILA HARMAN Owner 316-285-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 200862360a) |
| Additional Taxonomies | 251C00000X (Licence: KS 200862360A) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |