| NPI | 1811014384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY R. KAHLER Executive Director 660-288-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2025-09-11 |