| NPI | 1932082377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCKNER JEAN Owner 417-529-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |