| NPI | 1356480974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE P DORMAN Accountant 816-836-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO N00020863) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MO N00020863) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |