| NPI | 1497554943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRON W JACKSON Owner 816-214-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |