| NPI | 1164646162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCCRIMMON CEO 417-777-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 62028650) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |