| NPI | 1295907921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GILLESPIE Direct Support Professional 314-869-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |