| NPI | 1124856109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCFIELD Behavior Analyst 314-201-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2026-09-30 |