| NPI | 1295922458 |
|---|---|
| Doing Business As | SUPERIOR PARK |
| Entity Type | Organization |
| Authorized Contact | THOMAS A WALKER President Dst Inc & Administrator 816-630-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 035519) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: MO 033231) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-06-30 |