| NPI | 1912272147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG KOHLS Director 660-269-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MO N01198498) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |