| NPI | 1164383899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN NJUGUNA Owner 913-999-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |