| NPI | 1558487959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS F CULTON CEO 314-367-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MO 30667931) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |