| NPI | 1427557081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SHELTON CEO 314-580-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 273R00000X Psychiatric Unit | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-04-17 |