| NPI | 1538633243 |
|---|---|
| Doing Business As | AUTUMN RIDGE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW FOX CEO 636-931-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |