Whalio Doctors

NPI 1871226696

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 Long-Moses
Title
Ceo
Phone
(913) 306-3052

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X

Registry record

NPI
1871226696
Entity type
Organization
NPI issued
8 Jul 2022
Record last updated
15 Feb 2023

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.