| NPI | 1508923756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BENDER CEO 314-291-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-02-15 |