| 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 | 2024-08-14 |