| NPI | 1376681650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ROYER Owner 816-777-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 6368-9311) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-06-09 |