| NPI | 1538613799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKENDRA SHARON HUNT Executive Director 314-438-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2022-07-21 |