| NPI | 1255538211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE L COUCH Executive Director 573-346-7934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2026-02-18 |