| NPI | 1568661759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M CREEK Partner 816-347-8184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |