| NPI | 1619616356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LYNN LONGSTREET Program COO Rdinator 417-527-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-07-06 |