| NPI | 1477894426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C KEY Associate Director 314-327-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |