NPI | 1265668529 |
---|---|
Entity Type | Organization |
Authorized Contact | LATERRYL SADDLER Director 314-706-6917 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2009-06-01 |
Last Update Date | 2009-06-01 |