| NPI | 1508868852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PIPKINS-BURT Executive Director 314-837-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 000046931) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |