| NPI | 1134305485 |
|---|---|
| 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 |