| NPI | 1295984995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN TISONE CFO 314-569-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |