| NPI | 1063408011 |
|---|---|
| Doing Business As | SHADY LAWN RCF |
| Entity Type | Organization |
| Authorized Contact | THOMAS HUDSPETH COO/CFO 573-392-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 031268) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |