NPI | 1285073411 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE LYNN LANGLEY Member 573-378-2462 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2013-06-20 |
Last Update Date | 2015-08-11 |