| NPI | 1033511761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN GUDERMUTH Executive Director 573-651-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |