| NPI | 1033653928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIRRIA SMITH Executive Director 816-255-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |