| NPI | 1386868297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JUDITH DEMPSEY Qmrp 816-765-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |