| NPI | 1730204967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARDELL JOHN CARTER President 314-381-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 17053498) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-05-15 |