| NPI | 1982000303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOOLITTLE Managing Member 913-601-5269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 001O002N) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2020-12-18 |