| NPI | 1437675477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SELBERT Program Director 314-960-8639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |