| NPI | 1477112092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI SPRAUL President 314-266-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-04-24 |