| NPI | 1518096528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA RENEE' BAUMGARDNER Accounting Clerk 816-767-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO ER019905495) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |