| NPI | 1043400344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY ALLEN STUART Office Manager 573-442-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |