| NPI | 1306147277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNEY CRAWFORD Administrator 417-862-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-29 |