NPI | 1235308602 |
---|---|
Entity Type | Organization |
Authorized Contact | MANDY ELAINE STUCKEY Owner/Administator 660-826-5353 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 035165) |
Enumeration Date | 2008-02-29 |
Last Update Date | 2008-02-29 |