| NPI | 1427187012 |
|---|---|
| Doing Business As | JEFFRIES ISL MW |
| Entity Type | Organization |
| Authorized Contact | STACY JEFFRIES Owner 660-826-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-07-03 |