| NPI | 1164601357 |
|---|---|
| Doing Business As | CARE BY CLARK |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MICHELLE CLARK WHEELER Director/Owner 816-847-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 14109246) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 1410-9246) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2015-05-21 |