| NPI | 1437574951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A SCALES Owner 314-392-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |