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 |