| NPI | 1023618014 |
|---|---|
| Doing Business As | CONVERSE HOME |
| Entity Type | Organization |
| Authorized Contact | RAYNETTE CONVERSE Owner 314-355-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |