| NPI | 1437369832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLET SUE ALLEN Administrator 417-264-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-08-30 |