| 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 |