| NPI | 1811029440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE CLINE Executive Director 417-889-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |