| NPI | 1447307699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG A SAUER Office Manager 636-933-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-03-31 |