| NPI | 1609483296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE DAVIS Director 816-405-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2026-08-27 |