| NPI | 1659541274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SHELTON Administrator 314-727-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 101YM0800X Counselor Mental Health | |
| 251E00000X Home Health | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2024-08-01 |