| NPI | 1194146340 |
|---|---|
| Doing Business As | MISSOURI MENTOR |
| Entity Type | Organization |
| Authorized Contact | RACHEL KRAMER Sr Director Of Operations 314-991-7944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |