| NPI | 1992919740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SHAY OCHOA President 573-462-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-01-05 |