NPI | 1609992635 |
---|---|
Entity Type | Organization |
Authorized Contact | SOPHIA MARILYN CHAMBERLAIN Administrator 816-356-2005 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-22 |