| NPI | 1770776106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SPAETHE Co Owner 417-861-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-21 |