| NPI | 1720277718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE SCHULTZ Manager 816-587-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 034854) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |