| NPI | 1558729509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LONG Operations Director 417-654-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 002575600) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |