| NPI | 1295801678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA H. UNDERWOOD Therapist 417-865-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 002691) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |