| NPI | 1972966133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA NIMMO Executive Director 816-356-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |