| NPI | 1679691489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER D CONZ Owner 573-673-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |