| NPI | 1275077026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON K JACKSON Executive Director 816-305-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |