| NPI | 1629825641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG STEPHEN EDWARDS Administrator 417-422-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-07 |