| NPI | 1598961765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON JUNIOR RUGGS Director 573-774-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 002680) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |