| NPI | 1144409368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI CHAUDHRY Member 314-630-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 034656) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |