| NPI | 1386998631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L SAXTON Member 816-350-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MO WC1-0410-0212) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |