| NPI | 1164850772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC F HERNDON Owner/Director 913-712-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |