| NPI | 1760507172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHI L CHEUNG President 573-636-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 24569373) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |