| NPI | 1740441740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LUDWIG Therapist 816-767-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 2000148145) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |