| NPI | 1841627734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA NICOLE MANN Director 913-223-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2019-07-12 |