| NPI | 1326119553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE KING Administrator 636-463-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 031689) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |