| NPI | 1154788156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H FELKER CEO 314-302-4908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-02-29 |