| NPI | 1457945651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE W SMITH Manager 314-323-1021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2021-02-28 |