| NPI | 1801221932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KENT JEWELL Executive Director 816-842-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 1587) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |