| NPI | 1083562003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELAMAWIT ASRAT Owner 314-520-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-08-27 |