| NPI | 1598931537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ALLEN TINNEY Executive Director 417-862-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |