| NPI | 1104979152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY DAVIS L Administrator 816-531-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 032051) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2008-07-09 |