| NPI | 1467570085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MCWILLIAMS Owner 573-785-4035 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 7048378) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MO 7048378) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: MO 7048378) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-01-22 |