| NPI | 1275659435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN WELLS Executive Director 816-364-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 1447-9743) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |