| NPI | 1831253137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY FOWLES Executive Director 573-642-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 000042046) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |