| NPI | 1902357551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BURNS Owner 913-205-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |