| NPI | 1114139870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RENAE JUAREZ Executive Director 913-526-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-01-03 |