| NPI | 1235428095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC ONYEMA Director 314-454-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |