NPI 1548994445

Great Circle

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Springfield, MO

Practice location

Address: 1212 W Lombard St, Springfield, MO 65806-2720
Phone: (844) 424-3577
Fax: (314) 919-4876
Mailing address: 330 N Gore Ave, Saint Louis, MO 63119-1600

Authorised official

Name: Paula Ricker Fleming
Title: President & Ceo
Phone: (573) 356-0022

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1548994445
Entity type: Organization
NPI issued: 15 Jul 2022
Record last updated: 15 Jul 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.