| NPI | 1285373589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA ELL Finance Director 417-255-8781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |