| NPI | 1902259757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA K POSTAI CEO 620-231-9873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 002M003Y) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |