| NPI | 1609121912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDER GOSWAMI Owner 816-569-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2009024411) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MO 2009024411) |
| 310400000X Assisted Living Facility (Licence: KS 0435222) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: KS 0435222) | |
| 314000000X Skilled Nursing Facility (Licence: MO 2009024411) | |
| 314000000X Skilled Nursing Facility (Licence: KS 0435222) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |