| NPI | 1851429807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH DESTEPHANE President 660-826-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |