| NPI | 1699826024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY THOMPSON President 660-726-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2025-09-11 |