| NPI | 1508182940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA ELAINE WILLIAMS Executive Director 816-763-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |