| NPI | 1144556572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. HASELTINE Deputy Director 816-363-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |