| NPI | 1427181866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEGAARD Manager 660-425-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 1336-9740) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |