| NPI | 1669776852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENDY HUFSTEDLER Owner/Administrator 417-274-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-01-01 |
| Last Update Date | 2011-01-01 |