| NPI | 1356618128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANN GILMORE Director 314-518-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |