| NPI | 1700039773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL W. MAASDAM Director 660-646-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MO 129) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |