| NPI | 1467781393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA R KERSTING Clinical Coordinator 314-450-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 2004036418) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |