NPI | 1316933369 |
---|---|
Doing Business As | MONTICELLO HOUSE RCF |
Entity Type | Organization |
Authorized Contact | JAMES C LINCOLN Member 573-481-9625 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 031405) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2011-10-26 |