| NPI | 1770607780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LEIGH SNOW Executive Director 573-364-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 858153000) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 858153034) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |