NPI | 1386022101 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA R CARTER Vice President, Managed Care 417-761-5126 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO CC01430115) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2024-11-07 |