| NPI | 1578098489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MICHELLE GRAVES Chief Clinical Officer 314-261-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 2013006684) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |