| NPI | 1295909745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNNE TAULA Office Manager 816-257-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 800378) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |