| NPI | 1376667469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA TOWNSEND Director Of Operations 314-771-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MO 24529238) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |