| NPI | 1194846220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN TISONE Vice President Operations CFO 314-817-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-11-29 |