Organization
OZARKS TEEN CHALLENGE
Active
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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