| NPI | 1164567269 |
|---|---|
| Doing Business As | APPLEWOOD GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | GARY D BOGGS President 417-722-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 38134001058360) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |