SOUTHERN LIGHT RESIDENTIAL is a professional counselor in Bolivar, MO. SOUTHERN LIGHT RESIDENTIAL NPI is 1801312459. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1211 E BROADWAY ST
BOLIVAR, MO
ZIP 65613-952
Phone: (417) 850-4555
Fax: (417) 777-7017
The provider's authorized official is Cindy Drake .
The authorized official title is Admin Director and has the following contact phone number (417) 850-4555.
The enumeration date for this NPI number is 8/16/2017 and was last updated on 8/16/2017.