| NPI | 1992828362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY JOHNSON Executive Director 913-248-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: KS No46053) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |