OZARK TRAILS YOUTH SERVICES NPI 1548895790

NPI Information

  • NPI: 1548895790
  • Provider Name: OZARK TRAILS YOUTH SERVICES
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • CLIA Number: 26D2300496
  • Address: 40840 CR RD 181-280
    WILLOW SPRINGS, MO
    ZIP 65793
  • Phone: (417) 372-2041

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NPI Details

OZARK TRAILS YOUTH SERVICES is a residential treatment facility emotionally disturbed children in Willow Springs, MO. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. OZARK TRAILS YOUTH SERVICES NPI is 1548895790. The provider is registered as an organization entity type.

The provider's business location address is:

40840 CR RD 181-280
WILLOW SPRINGS, MO
ZIP 65793-579
Phone: (417) 372-2041

The provider's authorized official is Chris Mantell .
The authorized official title is Cfo and has the following contact phone number (434) 882-2303.

The CLIA number assigned to this NPI record is 26D2300496 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 3/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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