NPI | 1356481907 |
---|---|
Doing Business As | COUNTRY CLUB CARE CENTER |
Entity Type | Organization |
Authorized Contact | STEVE BUNCH Vice President Of Operations 660-429-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 035594) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2008-06-17 |