| NPI | 1720788540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SCHNEIDER Member 636-734-4327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |