| NPI | 1942724992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYRA E DAVIS Executive Director 573-248-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MO 15026507) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MO 15026507) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |