| NPI | 1922148907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA J KURTZ Accounting Manager 913-322-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-06-03 |