| NPI | 1174473417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VOWLINDA KATINA JONES Owner 314-333-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |