| NPI | 1982878112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE WANETTA DUMAS Administrator 816-217-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |