# FAIR HAVEN CHILDREN'S HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306147277
- **Authorized official:** MR. BARNEY CRAWFORD (ADMINISTRATOR)
- **Authorized official phone:** (417) 862-6675

## Contact information

- **Practice address:** 3132 N FAIR HAVEN LOOP, STRAFFORD, MO 65757-8619
- **Practice address phone:** (417) 882-4485
- **Mailing address:** 3132 N FAIR HAVEN LOOP, STRAFFORD, MO 65757-8619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | MO | Yes |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 11/29/2010