| NPI | 1033596325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA R CARTER Vice President, Managed Care 417-761-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2025-09-17 |