| NPI | 1720232515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA R BAUMGARDNER Accounting Clerk 816-595-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MO ER019905495) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MO MW014114) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |