| NPI | 1679889711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY C FUNK Owner 913-980-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 200903697) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MO 200903697) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 200903697) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 200903697) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-27 |