| NPI | 1619330578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER GROVE Office Manager 417-838-9145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 002524290) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |