| NPI | 1114348257 |
|---|---|
| Doing Business As | THE COMMUNITY OF THE GOOD SHEPHERD |
| Entity Type | Organization |
| Authorized Contact | BONTIEA GOSS Chief Administrator 417-869-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |