| NPI | 1003933540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MEINERS Director 573-474-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 6059-8632) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |