| NPI | 1497106769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BARBOUR Supervisor Of Patient Accounts 636-779-1444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |