| NPI | 1598306904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD CARR CEO 417-765-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |