| NPI | 1912141789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KEITH MCGUIRE President 417-866-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2004035843) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2016-11-02 |