| NPI | 1245357599 |
|---|---|
| Former Legal Business Name | MISSOURI BAPTIST CHILDREN'S HOME |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARTIN President And Treasurer 314-739-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: 00na) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |