| NPI | 1801354113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CAHILL Director 816-813-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |