NPI | 1366646481 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY BARFIELD Executive Director 314-371-1657 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 000031183) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 000031183) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2020-08-22 |