| NPI | 1790038321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA BENNETT Owner 314-477-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-09-19 |