| NPI | 1487811410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMARCUS JANUARY Director 913-829-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-09-30 |