| NPI | 1982724118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W. CARTON Ececutive Director 660-886-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 000616775) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |