| NPI | 1881181170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN EILEEN VEACH Owner 573-330-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |