NPI | 1992903546 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE DORMAN Accountant 816-836-3462 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-07-05 |
Last Update Date | 2020-08-22 |