| NPI | 1710010913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN HAROLD HOUSER Owner 573-442-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-06-24 |