| NPI | 1952058398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GREELEY Executive Director 816-761-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-03-06 |