| NPI | 1245509777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CALLAHAN Director Of Administration 913-961-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 3747P1801X) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |