| NPI | 1467894535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY WHITEHEAD President/Director 314-868-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 1028) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |