NPI | 1104958040 |
---|---|
Doing Business As | TIMBROOK HOUSE |
Entity Type | Organization |
Authorized Contact | CHARLES SNOW Executive Director 573-642-1792 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
385H00000X Respite Care | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2008-06-12 |