| NPI | 1699076711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HAHN Administrator 573-356-8915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-29 |