| NPI | 1306966429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M DAVIS Administrator 573-426-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |