| NPI | 1689098188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN AUTEN Managing Member 573-422-3877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |