| NPI | 1720642010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDACE ELAINE MILLER Operations Director 417-293-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |