| NPI | 1134422850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE M ROLLWAGEN President 417-886-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2024-02-20 |