| NPI | 1962838714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA OWENS Director 316-685-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 100354090a) |
| Additional Taxonomies | 251S00000X (Licence: KS 100354090A) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |