| NPI | 1659759983 |
|---|---|
| Doing Business As | HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LATISHA JANEE CRATE Healthcare 636-253-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 27156000) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |