| NPI | 1053584268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSCHELLE TRE'NICCE HORTON Co Director 816-359-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |