| NPI | 1902067184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCE HILLYER President 573-265-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 2000163689) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |