| NPI | 1194866020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY TROESSER Accountant 573-634-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |