| NPI | 1811188261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ROYAL CROCKETT Owner/Director 816-977-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2022-07-21 |