NPI | 1225673528 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVIN AKINS Administrator/Owner 314-652-8908 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Additional Taxonomies | 174200000X Meals |
320700000X Residential Treatment Facility, Physical Disabilities | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2019-11-10 |
Last Update Date | 2019-11-10 |