| NPI | 1750361119 |
|---|---|
| Doing Business As | MARILLAC |
| Entity Type | Organization |
| Authorized Contact | MARK S RICHARDS President CEO 816-508-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: KS 0053702002) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: KS 0054352002) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |