| NPI | 1699559138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH TOMBLEY Chief Executive Officer 417-274-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |