| NPI | 1740503978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA GAYNELLE HAWK Lpn Ii 816-437-3656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |