| NPI | 1205979556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA DELONG Executive Director 573-364-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 590) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-04-14 |