| NPI | 1578704268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON LARRY JOHNSON Executive Director 816-536-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-11 |