| NPI | 1023134491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY YVONNE SMITH Owner President 573-334-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 3176 7622) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: MO DA8020) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-06-13 |