| NPI | 1275541740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA R CARTER VP, Managed Care 417-761-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 251B00000X Case Management | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-08-13 |