Organization
OZARKS TEEN CHALLENGE
Active
Other names
Teen Challenge of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE LYNCH (EXECUTIVE DIRECTOR)
(417) 272-3784
Entity
Organization
Contact information
Practice address
512 PURIST LANE, BRANSON WEST, MO 65737
(417) 272-3784
Mailing address
P.O. BOX 2066, BRANSON WEST, MO 65737
(417) 272-3784
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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