NPI | 1124204474 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN ANNE TISONE VP Of Operations/CFO 314-569-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 103091) |
Enumeration Date | 2008-01-17 |
Last Update Date | 2008-01-17 |