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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · WICHITA, KS

Organization Active NPI 1962838714

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	✓	100354090A	KS
Community/Behavioral Health Agency	251S00000X		100354090A	KS

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.