NPI | 1629292644 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY SWEENEY CEO 573-876-7313 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2007-04-12 |
Last Update Date | 2024-06-19 |