| NPI | 1790148971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF TALLEY Executive Director 573-562-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO N000701465) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |