| NPI | 1740445956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANYE SHIFFON WITCHER Owner 816-743-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 320900000X) |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MO 385HR206OX) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |