| NPI | 1013086842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SHANK Therapist 417-865-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 2002002751) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-10-23 |