| NPI | 1922077932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HOUSE Director Of Operations 417-623-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MO 3097-7878) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |