| NPI | 1114269081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY FINE-NEWMAN Executive Director 660-665-5768 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2014-04-22 |