| NPI | 1689839763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L ALLRED CEO 573-384-5755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 002109748) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |