| NPI | 1699101311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GRAVES Director 913-345-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |