| NPI | 1154541761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY WILLIAMS CEO 816-761-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 902) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 902) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-01-06 |