| NPI | 1649082140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUZETTE JAMES Owner 314-392-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-09-30 |