| NPI | 1427078609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN MCKELVY Executive Director 417-829-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-09-19 |