NPI | 1134574411 |
---|---|
Doing Business As | LAFAYETTE HOUSE |
Entity Type | Organization |
Authorized Contact | ALISON MALINOWSKI SUNDAY Executive Director 417-782-1772 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-04-25 |