| NPI | 1447749452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WATKINS President 816-215-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |