| NPI | 1003000571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMINA NONYEREM IKPE Administrator 816-921-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 034007) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |