| NPI | 1598957797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHETARA DENISE SIMS Administrator 816-877-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO LC0822051) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |