| NPI | 1639723463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLAN HOWTON Owner, CEO 314-930-9384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |