NPI 1225740277

Freedom Rock Family Estates INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Waynesville, MO

Practice location

Address: 22552 Restful Ln, Waynesville, MO 65583-3375
Phone: (573) 774-3738
Fax: (573) 774-3738

Authorised official

Name: Chylon E Long-Moses
Title: Program Director
Phone: (913) 306-3052

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1225740277
Entity type: Organization
NPI issued: 21 Dec 2022
Record last updated: 21 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.