NPI | 1508923509 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRA LYNN CALLAHAN CEO 573-888-5925 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-08-22 |