| NPI | 1558437632 |
|---|---|
| Doing Business As | NBA WOODHAVEN |
| Entity Type | Organization |
| Authorized Contact | C MARK PALMER CEO 573-876-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |