| NPI | 1740488139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M ROBERTS Chief Executive Officer 618-262-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2015-06-18 |