| NPI | 1821454851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE CAROLYN MORELOCK Administrative Executive Director 417-880-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |