| NPI | 1598894115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILLIE ALICIA MURRAY Assistant Administrator 573-431-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 001871176) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-30 |