Organization
MASTER'S RANCH CHRISTIAN ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH TOMBLEY LPC (CHIEF EXECUTIVE OFFICER)
(417) 274-0469
Entity
Organization
Contact information
Practice address
287 COUNTY ROAD 275, MYRTLE, MO 65778-8341
(417) 264-6040
Mailing address
PO BOX 709, MYRTLE, MO 65778-0709
(417) 264-6040
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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