| NPI | 1770034167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLEEN HAINLINE Executive Director 636-583-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2016035609) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MO 2016035609) |
| 252Y00000X Early Intervention Provider Agency (Licence: MO 2016035609) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |