| NPI | 1881410520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MPOZA Managing Director 913-944-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-12-12 |