| NPI | 1700264447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE MCCUMBER President/Owner 816-824-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO LC1390708) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |