| NPI | 1144079773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI S DAILY Owner 314-359-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |