| NPI | 1164542460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE LEE TUCKER President 573-431-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-09-11 |