| NPI | 1396567061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADJE ACHTA BOUKARI NAYA Director 573-825-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-12-08 |