| NPI | 1942561576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CONOVER Chief Revenue Officer 660-665-1962 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KS 07110084) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-07-29 |