| NPI | 1003930520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASTITY ANN COURTER Administrative Assistant 573-624-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-08-18 |