| NPI | 1063659019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D COUTY Court Administrator 573-636-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |