| NPI | 1679578413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BAUSCH Executive Director 314-383-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |