| NPI | 1700906872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. WIEMANN Administrator 573-265-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-09-11 |