| NPI | 1366746844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MICKELS Exective Director 417-623-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 2010036933) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |