| NPI | 1730565532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN WOOLERY Member 785-217-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 043278) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |