| NPI | 1225464001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALEH MALIK President 314-265-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 041208) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |