| NPI | 1083158943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT DOWNER Owner 636-373-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |