| NPI | 1043942378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA RICKER FLEMING President & CEO 573-356-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-07-04 |