| NPI | 1861517195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN BEACH Owner 816-880-0792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 8001293) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |