| NPI | 1972637346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JANE DILLAHUNT Owner 573-445-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 8001281) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2010-11-22 |