| NPI | 1588842652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS ANN DOWNTON Owner 816-728-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 320900000X) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |