NPI | 1891828737 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SCHWEND CEO 660-665-1962 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MO 6300-9238) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2009-06-15 |