| NPI | 1720157803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE TUCKER Resident Director 417-865-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 2001021788) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |