| NPI | 1649442294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH C WASHAM Administrator 816-405-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 067295) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-06-16 |