| NPI | 1144345778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY GREENWALT Administrator 573-431-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 391-9391) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-06-02 |