| NPI | 1619147428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN KEENEY Owner 573-686-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 6669-10524) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |