| NPI | 1568595981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN BONE Registered Nurse Owner 314-645-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 637) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1081) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO ER019914017) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-09-25 |