| NPI | 1538619895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MORO Vice President Of Finance 636-779-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |