| NPI | 1235262585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM J JOHNSON Executive Director 816-531-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |