| NPI | 1053677732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSENCE MONTGOMERY CFO 816-599-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2024-10-29 |