| NPI | 1609474204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURT COOK Program Director 417-274-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |