| NPI | 1326559865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA M JOHNSON Executive Director 816-344-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-05-06 |