| NPI | 1649398769 |
|---|---|
| Doing Business As | SHEPHERD'S LANE |
| Entity Type | Organization |
| Authorized Contact | ALYCE DENISE CLARK Owner 816-943-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 856274402) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-07-29 |