| NPI | 1437917325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JEROME FABER President/CEO 573-275-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-05-20 |