| NPI | 1538571542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BARBROW Owner 417-469-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO N01213043) |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2014-05-25 |