| NPI | 1437397833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ROYER Owner 816-777-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |