| NPI | 1831213925 |
|---|---|
| Former Legal Business Name | GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC |
| Entity Type | Organization |
| Authorized Contact | ED D MOLDENHAUER Executive Director 660-726-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-08-11 |