OrganizationActive
Kybama, Inc
NPI 1437675477 · Emotionally Disturbed Childrens' Residential Treatment Facility · Bonne Terre, MO
Provider details
- NPI number
- 1437675477
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gary Selbert, Program Director(314) 960-8639
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12729 Stoney Point Rd
Bonne Terre, MO 63628
Phone: (573) 358-8703
Street-level locationGet directions
Mailing address
Po Box 70
Potosi, MO 63664-0070
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2017-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.