| NPI | 1124225651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CASEY Executive Director 573-634-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |