| NPI | 1730963265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT COLE Manager 573-217-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |