| NPI | 1427612134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA JENKINS Executive Director 816-982-9481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2019-04-28 |