| NPI | 1942066865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAUNI BOSTON Owner 816-969-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-03-11 |