| NPI | 1811445463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROOKS CEO 913-244-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |