NPI | 1306979760 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN LEGAARD Manager 660-425-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 1336-9740) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |