| NPI | 1992932354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. SNOW Executive Director 573-642-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO N00859770) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |