| NPI | 1770092892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT V PALMER Owner 573-673-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |