| NPI | 1750227062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS TILLMAN Manager 816-298-3249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-07-27 |