| NPI | 1417070210 |
|---|---|
| Doing Business As | FAITH FOUNDATION CHILDREN'S HOME |
| Entity Type | Organization |
| Authorized Contact | DEBORAH JOY BOOTH Clinical Director 573-783-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 001742092) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2022-07-06 |