| NPI | 1275759144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN WITTELS Chief Operating Officer 314-442-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 584) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 1036) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-12-04 |