| NPI | 1023138716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ELAINE LUNN Director 816-213-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-10-12 |