| NPI | 1336846757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KAY WILLIAMS-RODRIGUEZ Owner 913-850-2687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |