| NPI | 1285057307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D INGERSON President 314-965-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 16575571) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |