| NPI | 1174743785 |
|---|---|
| Other Name | MADISON |
| 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 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-05-14 |