| NPI | 1053439190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCCRIMMON CEO 417-777-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 854970506) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 854970506) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 854970522) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |