| NPI | 1750738084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELLE DAUGHERTY Director 816-313-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-31 |