OZARK TRAILS YOUTH SERVICES


Address: 40840 Cr Rd 181-280, Willow Springs, MO 65793-6579
Phone: 4173722041

OZARK TRAILS YOUTH SERVICES (NPI# 1548895790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548895790
Entity Type Organization
Organization Name OZARK TRAILS YOUTH SERVICES
Practice Address 40840 Cr Rd 181-280
Willow Springs
MO 65793-6579
Mailing Address 1405 Doctors Dr
West Plains
MO 65775-4754
Practice Telephone 4173722041
Mailing Telephone 4172564111
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Authorized Official Name CHRIS MANTELL (CFO)
Authorized Official Telephone 4348822303
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Office Location

Street Address 40840 CR RD 181-280
City WILLOW SPRINGS
State MO
Zip Code 65793-6579

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265033534 Good Graces, LLC Pharmacy 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 2020-11-03
1427526565 Ozarks Medical Center Clinic/Center 201 West High Street, Suite 2, Willow Springs, MO 65793 2018-11-07
1124514476 Ozarks Medical Center Clinic/Center 201 West High Street, Suite 2, Willow Springs, MO 65793 2018-07-10
1023439403 Lori Pendergrass Occupational Therapy Assistant 910 Springfield Rd, Willow Springs, MO 65793 2014-01-02
1912151960 Matthew Eugene Mansfield Dentist 2729 State Route 76 West, Willow Springs, MO 65793 2008-11-04
1407950520 Lester E Cox Medical Centers Family Medicine 816 E Main, Willow Springs, MO 65793 2006-09-11
1972771657 Mercy Clinic Springfield Communities Family Medicine 1202 E Main St, Willow Springs, MO 65793 2008-02-14
1366443913 Willow Health Care Inc Home Health 2642 State Route 76, Willow Springs, MO 65793-0000 2005-08-04
1598742777 Alexander Mark Prorok Counselor 3670 County Road 4990, Willow Springs, MO 65793-0506 2005-12-28
1548341019 Laura Louise Curtis Counselor 2695 Sr U, Willow Springs, MO 65793-0631 2006-10-18
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609474204 Whetstone Boys Ranch Residential Treatment Facility, Emotionally Disturbed Children 6850 County Road 2660, Mountain View, MO 65548-8146 2020-10-15
1962995993 The Bridge Home for Children Residential Treatment Facility, Emotionally Disturbed Children 6033 Swope Pkwy, Kansas City, MO 64130-4461 2018-06-13
1437675477 Kybama, Inc Residential Treatment Facility, Emotionally Disturbed Children 12729 Stoney Point Rd, Bonne Terre, MO 63628 2017-08-22
1568914927 Clear Creek Counseling Residential Treatment Facility, Emotionally Disturbed Children 3646 N Farm Road 89, Willard, MO 65781-8330 2016-11-01
1619330578 Farmer Grove Homesteads Incorporated Residential Treatment Facility, Emotionally Disturbed Children 533 E Bedford St, Marshfield, MO 65706-1218 2016-03-29
1720447212 Corner Stones of Care Residential Treatment Facility, Emotionally Disturbed Children 300 E 36th St, Kansas City, MO 64111-1410 2016-02-12
1558729509 Cayman's House of Hope, Inc. Residential Treatment Facility, Emotionally Disturbed Children 311 N Poplar St, Fair Play, MO 65649-9299 2016-02-05
1639503691 Proverb Academy, Inc Residential Treatment Facility, Emotionally Disturbed Children 420 Carroll St, Morehouse, MO 63868 2013-08-27
1306147277 Fair Haven Children's Home Residential Treatment Facility, Emotionally Disturbed Children 3132 N Fair Haven Loop, Strafford, MO 65757-8619 2010-11-09
1437470184 Ozarks Teen Challenge Residential Treatment Facility, Emotionally Disturbed Children 512 Purist Lane, Branson West, MO 65737 2010-06-17
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Competitor

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City WILLOW SPRINGS
Zip Code 65793

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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