| NPI | 1902167067 |
|---|---|
| Doing Business As | SUPPORT PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | PATRICE VERAGUTH Administrator 816-898-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |