| NPI | 1003338328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDEMPTA BEKAH Member 816-728-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |