| NPI | 1033650742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN RHETT WARE Administrator 816-423-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-04-05 |