| NPI | 1861664591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDREE RENEE CARLISLE Administrator 816-521-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2013-10-16 |