| NPI | 1154935112 |
|---|---|
| Other Name | LUCINDA GRACE PENNINGTON LLC |
| Entity Type | Organization |
| Authorized Contact | LUCINDA GRACE PENNINGTON Owner/Counselor 816-255-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 251S00000X | |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |