| NPI | 1629123518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY WAGGENER Owner 816-916-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MO 01798) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |