| NPI | 1720154941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KAY PARKER Owner 573-814-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MO 7164529) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-06-17 |