| NPI | 1407037179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD K THOMPSON Administrator 816-861-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 033218) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |