| NPI | 1548695422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS RYAN WILLIAMS Director/Owner 913-523-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |