| NPI | 1972638021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WADE HOCHANADEL Director 913-712-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 205796566) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-07-01 |