| NPI | 1346372380 |
|---|---|
| Other Name | B.A.S.I.C. |
| Entity Type | Organization |
| Authorized Contact | OVAL LAVAL MILLER Executive Director 314-621-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |