| NPI | 1437668340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN NADOLSKI Director 573-364-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-06-16 |