| NPI | 1811386451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY SWIFT Owner 417-270-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |