| NPI | 1326414350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE LOETHEN Clinical Director 417-812-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 2008002505) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |