| NPI | 1639203607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEWTON President 417-257-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-02-22 |