| NPI | 1003169822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CASE Executive Director 816-914-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-02-28 |