| NPI | 1275877805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITA A WASSMAN Program Director 636-464-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 01694) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |