| NPI | 1902369663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY MCDOWELL Main Member/Administrator 573-631-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |