| NPI | 1730909037 |
|---|---|
| Former Legal Business Name | UPON THE ROCK, INC. |
| Entity Type | Organization |
| Authorized Contact | RASHAAD BROWN-PETERSON Owner/Executive & Program Director 417-771-8731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |