| NPI | 1841478138 |
|---|---|
| Doing Business As | ICAN |
| Entity Type | Organization |
| Authorized Contact | ROCKY LEE CAUDELL Administrator 816-254-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |