| NPI | 1831374677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS ANN MARTIN Sec 816-517-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |